HomeMy WebLinkAboutDrain Layers Permit 70 Oakland Road TOWN OF SOUTH WINDSOR
DEPARTMENT a •p CL.UTION CONTROL
South Windsor,tonnecticut
DRAIN LAYER'S PERMITO 482
onte 2 219 73
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at 70 on the,
269 tt$ side, between U3111 IL
at premises owned by Sftrw Nuke ut•
whose address is
and to :Lay House Drain, Repair House Drain, Lay Main, Other
for occupancy or use,
with M Family Units, with acres.
Type of Sewage to be connected under this permit:
SANITARY SEWAGE, INDUSTRIAL WASTES, OR
Connection will be made withh
Permit to be issued to
the holder of Drain Layer's License No., Permit will expire on ► 19 _
The undersigned Drain Layer hereby agrees to all the`terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No.
for street excavation.
ft"SPECIAL CONDITIONS tOft* MO badft-U
Signed
Connection Charge Paid Licensed Drain Layer
pore ze (Sig) Issued by %10 As Saw Jrr
Tax Collector
Permit Fee: Paid ��
INSPECTION:
INITIAL (Sig)
FINAL / // 2 r (Sig)
APPROVED (Date)
(Sig)
INSPECTOR
G
N
7�
NOTES SOUTH WINDSOR POLLUTION CONTROL
LOCATION D ogkrzt p
/ OWNER
TYPE OF WORK
7 DATE �c7_ ac/,?.?PERMIT PIPE
INSTALLER
�r INSPECTOR f' DRAWN BY